HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
l� Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
Re: Permit k1ulos -_03,3B
l Jamie Cisco licensed as ao)Contr or*/Engineer/Architect
(Please print name&circle license type) *FS468 ilding Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 1 did personally inspect the roof deck nailing
(Dati)
work at: LkAli SSL
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the F ida Existing Building Code Section 611 or the product approval submitted (whichever is
most strigen .
CCC 1327796
Si—giature and Seal License #
STATE OF FLORIDA
COUNTY OF Martin /�
Sworn to and subscribed before me this_�day of / 4a iA5•f 20L(�,
by Jamie Cisco Who is personally known to me or who has produced
as identification.
Notary Public,State o rida /J
Signature of Notary: c�1z.*LQ � —
Commission Number 6 (Seal)
En 01/19/2011 A"`""9N JOANNE J.GRANESE
MY COMMISSION M FT919"S
EXPIRES.Nps 24.2019
a�.